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Case Reports
. 2020 Sep 22;12(9):e10601.
doi: 10.7759/cureus.10601.

Rupture of Unscarred Uterus With Intestinal Prolapse From Vagina Following Criminal Abortion

Rimpi Singla  1 , Nayana Gaba  1 , Anil L Naik  2 , Anju Singh  1
Affiliations
Case Reports

Rupture of Unscarred Uterus With Intestinal Prolapse From Vagina Following Criminal Abortion

Rimpi Singla et al. Cureus. .

Abstract

A 21-year-old unmarried and primigravida female indulged in criminal abortion at 18 weeks of gestation with the help of a village midwife. Instrumentation was done, and it led to uterine perforation with prolapse of 200 cm of small bowel through vagina. She was managed with resection of 160 cm of necrotic small bowel, repair of the uterine defect, and end jejunostomy, which was anastomosed with distal ileum three months later. This case highlights the risks of illegal abortion and the primitive societal mindset that forces unmarried women to resort to such means.

Keywords: criminal abortion; illegal abortion; instrumentation; intestinal prolapse; uterine perforation.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. (A) Part of small bowel that had prolapsed from vagina. (B) The site of entry into the uterus (arrow) seen after laparotomy.
Figure 2
Figure 2. (A) The prolapsed bowel that was pulled back through the uterine defect was gangrenous and detached from mesentery. (B) Resection was done at the junction of gangrenous and viable bowel.
Figure 3
Figure 3. (A) The defect seen on the posterior wall (arrow) of uterus. (B) Jejunal stoma seen post-operatively.
See this image and copyright information in PMC

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